Active NPI
Cristhy Grace Tagarda Olegario, DPT
- Physical Therapist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 308326
- Practice address
- 4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000 - Phone
- (818) 894-2273
- Fax
- (818) 357-2505
- NPI assigned
- Dec 7, 2022
- Last updated
- May 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045782 | NY | |
| Physical Therapist | 225100000X | 308326 | CA | Primary |
| Physical Therapist | 225100000X | 29871 | MD |
Addresses
Primary practice location
4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Mailing address
5203 Lakewood Blvd Ste B
Lakewood, CA 90712-2438
Phone (562) 633-2273
Other practice location 1
5203 Lakewood Blvd Ste B
Lakewood, CA 90712-2438
Phone (562) 633-2273
Other practice location 2
17122 Beach Blvd Ste 104
Huntington Beach, CA 92647-5992
Phone (714) 964-4448
Other practice location 3
17232 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 752-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6320 Canoga Ave
FL 15
Woodland Hills, CA 91367-2593
83 Giralda Walk
Long Beach, CA 90803-4127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045782 | NY | MD | Dentist |
| 308326 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Occupational Medicine, PC | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| California Physical Therapy Management Inc | Physical Therapist | Past | Accepting new patients |
| Agile Occupational Medicine, PC | Past | Accepting new patients | |
| Gardena Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
5203 Lakewood Blvd
Ste B
Lakewood, CA 90712
Phone (562) 633-2273
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Occupational Medicine Clinic/Center
- Lakewood, CA
- NPI 1144103037
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Occupational Medicine Clinic/Center
- Huntington Beach, CA
- NPI 1265314660
-
- Physical Therapist
- Gardena, CA
- NPI 1053561373
-
- Physical Therapist
- Gardena, CA
- NPI 1447727235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1659082030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 LAKEWOOD BLVD STE B",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122438",
"telephone_number": "562-633-2273",
"fax_number": "562-633-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONG BEACH BLVD STE 700",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072000",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505"
}
],
"practiceLocations": [
{
"address_1": "5203 Lakewood Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CA",
"postal_code": "907122438",
"country_code": "US",
"telephone_number": "562-633-2273",
"fax_number": "562-633-1796",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17122 Beach Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926475992",
"country_code": "US",
"telephone_number": "714-964-4448",
"fax_number": "714-963-3780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17232 Red Hill Ave",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926145628",
"country_code": "US",
"telephone_number": "949-752-1111",
"fax_number": "949-752-1133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLEGARIO",
"first_name": "CRISTHY GRACE",
"middle_name": "TAGARDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045782",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "308326",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.